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Mdy Primary Care Medicine P A
Specialist in Davenport, Florida
NPI 1497974133

Mdy Primary Care Medicine P A is a Specialist based in Davenport, FL. Mdy Primary Care Medicine P A practices in Davenport, FL. The NPI Number for Mdy Primary Care Medicine P A is 1497974133 and holds a License No. ME0072925 (Florida).

The current practice location address for Mdy Primary Care Medicine P A is 102 Park Place Blvd, Davenport, FL and can be reached out via phone at 863-422-0032 and via fax at 863-422-3275.

Location: 102 Park Place Blvd, Davenport, FL, 33837-6857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497974133
Provider Name
Mdy Primary Care Medicine P A
Credential
Provider Entity Type
Organization
Address
102 Park Place Blvd, Davenport, FL, 33837-6857
Phone Number
863-422-0032
Fax Number
863-422-3275
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG2237 01 FL MEDICARE RAILROAD CARRIER
institution
Provider Business Practice Location Address Details
Address
102 Park Place Blvd
City
Davenport
State
Florida
Zip
33837-6857
Phone Number
863-422-0032
Fax Number
863-422-3275
person
Provider Business Mailing Address Details
Address
102 Park Place Blvd
City
Davenport
State
Florida
Zip
33837-6857
Phone Number
863-422-0032
Fax Number
863-422-3275
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0072925 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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